Can any of Dr. Miles or Schmitt's patients help me with a few questions I have? I have BCBS of AL PPO.

How much where you required to pay upfront? (with insurance)

What was the PREop requirement? (liquids for so many days etc?

What is the POSTop requirement? (liquids so many days, mushies.. etc)

I think that's all for now. We have a couple of vacations coming up and I would like to have a heads up on the money so I don't spend it on vacation lol and food requirements..... same.. need to be sure vacation goes along with them.

Thanks!!

Yeah, I've got Angela working on it now. I did receive the rejection letter by BCBS but she is appealing it for me. Is there anything else that I can do other than beg and gravel...lol?

What did your rejection letter state as the reason for rejection? My first attempt was rejected because they said I didn't meet the criteria for my plan. However, when they got all my mountains of paperwork for review, they decided I did meet the criteria.

You just have to be patient and wait it out. I know how frustrating it can be but hang in there!

What did your rejection letter state as the reason for rejection? My first attempt was rejected because they said I didn't meet the criteria for my plan. However, when they got all my mountains of paperwork for review, they decided I did meet the criteria.

You just have to be patient and wait it out. I know how frustrating it can be but hang in there!

I think the same...that I didn't meet the medical criteria. But if I felt they reached this determination in error then I should submit to them an explanation on why this procedure should be considered futher. Has anyone else had to submit an additional letter to BCBS?

Jason- poor Scarlett came but couldn't find us. She sent me a message this morning. I think she may have went to the wrong hospital!

Jason- poor Scarlett came but couldn't find us. She sent me a message this morning. I think she may have went to the wrong hospital!

oh no!

im so sorry for that.

next time we will have to meet her somewhere and let her follow us there.

yeah, for some reason I think she lives in Pell City which I go right by there so next I'll just meet her.

What did your rejection letter state as the reason for rejection? My first attempt was rejected because they said I didn't meet the criteria for my plan. However, when they got all my mountains of paperwork for review, they decided I did meet the criteria.

You just have to be patient and wait it out. I know how frustrating it can be but hang in there!:biggrin:

And who says the American health care system is broke. This insurance bureaucracy would make the Soviet Union blush. I'm glad that you did get approved.

Hey I am sorry I missed it. I was really looking forward to coming but I will be at the next one. I thought I went to the right one. I went to St Vincents downtown. It was strange there was not that many people in the hospital and no one to help so that I could even ask. This week as been a bad week for me its the first week since my surgery that I havent lost any weight. Hopefully next week will be better.

Hey I am sorry I missed it. I was really looking forward to coming but I will be at the next one. I thought I went to the right one. I went to St Vincents downtown. It was strange there was not that many people in the hospital and no one to help so that I could even ask. This week as been a bad week for me its the first week since my surgery that I havent lost any weight. Hopefully next week will be better.

im sorry you missed it. im always looking forward to meeting new people.

and don't worry about not losing weight every week. it happens to everyone.

Well everyone I have to share my experience... Okay - I noticed that I have been kinda tight for the last week or so. Well this weekend - I was REALLY tight. I just chalked it up to the heat and retaining water (as I usually do in the summer). Well last night I woke up around 11 and noticed that my stomach/chest was hurting. I laid there for about an hour with no relief, so I got up and went to lay down on the couch hoping that the change in position would help ease the pain. Well it got progressively worse. I was getting really scared. I went and woke up my husband and told him that I think that I need to go to the emergency room. You would have thought I was a woman in labor at his reaction. As soon as I woke him up - I REALLY started hurting bad. I couldnt even stand up. I got in the car and we had to stop twice on the way to the hospital for me to attempt to throw up. We got to the hospital and as soon as I signed in the pain went away - just like that. So I was there for about 4 hours for them to be as perplexed as I was about what had caused my pain. They gave me a shot of anti nausea medicine and told me to follow up with Dr. Miles today. So I did. They sent me for an upper GI to check the restriction and position of my band. You would not believe how scared I was that something had gone wrong. Luckily there was no slippage or erosion. He did say that it looked like my hernia was back "a little". Lisa removed .5cc from my band and told me to let her know if the problems continue. I am glad that I decided to go to the ER and get checked out. I am just taking it easy today. Just wanted to share that if you think something is wrong it doesnt hurt to make sure that everything is okay. Go with your gut (litterally) and make sure everything is good with your band.

Well everyone I have to share my experience... Okay - I noticed that I have been kinda tight for the last week or so. Well this weekend - I was REALLY tight. I just chalked it up to the heat and retaining water (as I usually do in the summer). Well last night I woke up around 11 and noticed that my stomach/chest was hurting. I laid there for about an hour with no relief, so I got up and went to lay down on the couch hoping that the change in position would help ease the pain. Well it got progressively worse. I was getting really scared. I went and woke up my husband and told him that I think that I need to go to the emergency room. You would have thought I was a woman in labor at his reaction. As soon as I woke him up - I REALLY started hurting bad. I couldnt even stand up. I got in the car and we had to stop twice on the way to the hospital for me to attempt to throw up. We got to the hospital and as soon as I signed in the pain went away - just like that. So I was there for about 4 hours for them to be as perplexed as I was about what had caused my pain. They gave me a shot of anti nausea medicine and told me to follow up with Dr. Miles today. So I did. They sent me for an upper GI to check the restriction and position of my band. You would not believe how scared I was that something had gone wrong. Luckily there was no slippage or erosion. He did say that it looked like my hernia was back "a little". Lisa removed .5cc from my band and told me to let her know if the problems continue. I am glad that I decided to go to the ER and get checked out. I am just taking it easy today. Just wanted to share that if you think something is wrong it doesnt hurt to make sure that everything is okay. Go with your gut (litterally) and make sure everything is good with your band.

Im sure that scared you to death waking up in the middle of the night like that but I am glad everything is ok. Thankfully no slippage or erosion. keep up the good work and take it easy...youve been go go going!!!

im so glad everything was ok shawna! im still affraid thatr one day im going to have a bad pain it not turn out ok.

what ddi you eat that day? sounded like almost something got stuck real bad and then passed thur.

and i have had that feeling before when i was so stuck it hurt me bad. but after about 1 hour it went away. and trust me i can take pain and it hurt so bad i had tears coming on.

keep us posted and if you need something please let us know.

on another note, veronica emailed me and said she will be at the beach the day of are meet. but she is going to send it out to all her band patients. and also send it to dr. miles and schmitt.

Thanks Kani and Jason. I really think that it was my gall bladder. My mom had gall bladder problems and she described her symptoms to me and it sounded exactly the same. Lets just hope that it doesn't happen again. I have had 3 kids and I have never experienced pain like that before.

BTW - our tournament went good last weekend. We finished 4th and are headed to the Area tournament in Fyffe this weekend. If we finish in the top 3 there we will be going to State. It has been so nice to actually enjoy ball this year!

Everyone say a prayer or keep you fingers crossed that Dr. K. Schmitt clears me for surgery. That #@!* CPAP machine data is driving me crazy. She keeps telling me I am not "compliant" because I have skipped days on the machine. The days have been when we have lost power, but that doesn't seem to matter to her. We lost it twice the last 2 weeks, but I called the office and had them note it in my chart, so I am hoping that does the trick!

Anyone ever hear from venzwife? I am getting concerned!

amy maybe it will happen this time.

so hows everyone doing this week. been real busy for me at work. we are trying to start up a 2 million dollar filter project. other then that its been fine.

Everyone say a prayer or keep you fingers crossed that Dr. K. Schmitt clears me for surgery. That #@!* CPAP machine data is driving me crazy. She keeps telling me I am not "compliant" because I have skipped days on the machine. The days have been when we have lost power, but that doesn't seem to matter to her. We lost it twice the last 2 weeks, but I called the office and had them note it in my chart, so I am hoping that does the trick!

Anyone ever hear from venzwife? I am getting concerned!

I can definately relate to you!! I had a defective machine and it was so frustrating (you can go back to the beginning of the board to read about it). I was compliant and the machine said it wasn't. Turns out the stupid machine was defective and had been recalled. I didn't know until day before my surgery if they would even do it or not. BIG HEADACHE!! Hang in there!

Venz!! Where are you? How are you doing? We are all wondering how you are doing!! Give us an update!

Hope everyone is well!!